Alicia Joy Sheets, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.002024900 Issued in CO

Practice address

34 Hybrook Road South
Divide, CO 80814-9219

Phone

(719) 632-5700

NPI assigned

Sep 7, 2017

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alicia Joy Moss , Roth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sheets Family Dental Hygiene, LLC

  • Dental Clinic/Center
  • Victor, CO
  • NPI 1083267074
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1093233397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 PORTLAND AVE",
            "city": "VICTOR",
            "state": "CO",
            "postal_code": "80860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HYBROOK ROAD SOUTH",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "808149219",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "CO",
            "postal_code": "80860",
            "country_code": "US",
            "telephone_number": "719-491-1696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "ALICIA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002024900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MOSS , ROTH",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William J Pearson
• Curtis Pillsbury, PTA
• Lori Ptak
• Jacqueline Revello, MA, RN
• Raymond Schwab, ADDC
• Emily Blair Slough, LCSW
• Karissa Smith
• Sunrise Medical Alerts LLC
• Teller County (Teller County Public Health)
• Teller County Public Health

• Dental Hygienist in Divide, CO
• Providers in Divide, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.